What is Lautenbach Procedure
Wednesday, August 20th, 2008Today I learnt about Lautenbach procedure for treatment of Chronic Osteomyelitis. This procedure was developed and used by Charles Lautenbach surgeon form South Africa. This procedure involves sequestrectomy, saucerisation until you see bleeding bone (paprika sign), thorough wash out with pulse lavage and leaving a special drain through which we can deliver antibiotics like Teicoplanin, Gentamycin and anticoagulant streptokinase. This drain is retained for almost 4 weeks for local delivery of antibiotics to reduce recurrence of infection.
Information Links
Useful Abstracts
- The management of chronic osteomyelitis using the Lautenbach method :MA Hashmi, P Norman, M Saleh - Journal of Bone & Joint Surgery, British Volume, 2004 - JBJS
- Management of chronic osteomyelitis with modified Lautenbach procedure :Gudena R, Mehta J, Male K,Evans C, Morgan-Jones R
